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Division
West Florida
Hospital
St. Petersburg General Hospital
Specialty
Gastroenterology
Document Type
Poster
Publication Date
6-2020
Keywords
hernia, intraoperative complications, gastric bypass, bariatric surgery, transmesenteric internal hernia, TIH
Disciplines
Digestive System Diseases | Gastroenterology | Radiology | Surgical Procedures, Operative
Abstract
As the prevalence of obesity continues to rise, so does the popularity of bariatric surgery. Previously the Roux-en-Y gastric bypass was the most common bariatric procedure, but now falls second to the gastric sleeve. It remains a relevant procedure, however, accounting for 17% of bariatric procedures in 2018. Due to its prevalence, it is important that the radiologist be familiar with the procedure and its complications such as leak, obstruction, stricture, or, as in this case, internal herniation through a mesenteric defect. Internal hernias are more commonly associated with the laparoscopic approach versus open. This is likely due to fewer adhesions created to secure the bowel, allowing more freedom for herniation and potential volvulus formation. It is imperative that the surgeon close all mesenteric defects created during the procedure to decrease the risk of this dire complication.
Recommended Citation
Purton, Samantha; Meshekow, Gabriel; Myers, My; Mercado, Edgar; and Katz, Allan, "Internal Hernia as a Late Complication of Roux-en-Y Gastric Bypass Procedure" (2020). West Florida Division GME Research Day 2020. 32.
https://scholarlycommons.hcahealthcare.com/westflorida2020/32
Included in
Digestive System Diseases Commons, Gastroenterology Commons, Radiology Commons, Surgical Procedures, Operative Commons